Individual provider Active NPI

Luis Alberto Mata Gonzalez, FNP

  • Family Nurse Practitioner
  • San Juan, TX
National Provider Identifier
1790139699
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130908 Issued in TX
Practice address
509 Rio Red
San Juan, TX 78589-2281
Phone
(956) 458-1135
NPI assigned
Apr 17, 2016
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130908 TX Primary

Addresses

Primary practice location

509 Rio Red
San Juan, TX 78589-2281

Mailing address

3601 Tom Gill Rd
Penitas, TX 78576-7352
Phone (956) 458-1135

Other practice location 1

605 N Main St Ste B
Donna, TX 78537-2726
Phone (956) 464-4407

Other practice location 2

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160715001124 TX Practitioner - Nurse Practitioner 2668763970 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C.L. Anderson, Jr., M.D., PLLCGroup PAC ID 9830142157, 13 clinicians

Practice addresses (Care Compare)

305 E Expressway
Suite 83
Mission, TX 78572-5560
Phone (956) 585-7401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Hospital Services of Texas, Inc Family CurrentSince Jul 1, 2024 Accepting new patients
Monzer H Yazji MD & Associates PLLC CurrentSince Jul 31, 2025 Accepting new patients
South Texas Vascular Institute, PLLC CurrentSince Apr 16, 2023 Accepting new patients
Wound Care Institute of Texas, PLLC CurrentSince Dec 8, 2023 Accepting new patients
Rehabilitation & Physical Medicine LLC CurrentSince Nov 25, 2025 Accepting new patients
South Texas Physician Partners PLLC CurrentSince Jul 31, 2025 Accepting new patients
Anesthesia Provider Associates LLC PastSince Apr 16, 2023 Accepting new patients
Isaac Ornelas Past Accepting new patients
South Texas Clinicians Association PLLC PastSince Aug 30, 2025 Accepting new patients

Locations

7930 Northaven Rd
Dallas, TX 75230
Phone (214) 706-8200

2511 Cornerstone Blvd
Ste 2511
Edinburg, TX 78539
Phone (956) 322-7662

4302 S Sugar Rd
Ste 101
Edinburg, TX 78539
Phone (956) 388-2700

4503 S Sugar Rd
Edinburg, TX 78539
Phone (956) 386-1112

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

508 S Closner Blvd
Edinburg, TX 78539
Phone (956) 380-1833

5416 S Jackson Rd
Edinburg, TX 78539
Phone (956) 213-0400

7514 Kingsley St
Houston, TX 77087
Phone (713) 644-8393

611 N MacArthur Blvd
Irving, TX 75061
Phone (972) 254-1777

1200 E Savannah Ave
Ste 109
McAllen, TX 78503

1200 E Savannah Ave
Ste 19
McAllen, TX 78503
Phone (956) 928-1909

2101 S M St
Ste A
McAllen, TX 78503
Phone (956) 317-4043

5128 N 10th St
McAllen, TX 78504
Phone (956) 631-3831

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

1920 E Griffin Pkwy
Mission, TX 78572
Phone (956) 584-3353

900 Plaza Dr
Ste 5
Mission, TX 78572
Phone (956) 317-4044

819 W Arapaho Rd
Ste 24B
Richardson, TX 75080
Phone (469) 773-0710

422 E 18th St
Weslaco, TX 78596
Phone (956) 973-8451

Interoperability endpoints

  • Direct secure messaging: lmata@laser-surgical-solutions.direct.kno2fy.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1790139699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 TOM GILL RD",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785767352",
            "telephone_number": "956-458-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 RIO RED",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892281",
            "telephone_number": "956-458-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Donna",
            "state": "TX",
            "postal_code": "785372726",
            "country_code": "US",
            "telephone_number": "956-464-4407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 S Closner Blvd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785394660",
            "country_code": "US",
            "telephone_number": "956-292-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATA GONZALEZ",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-17",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.